1326218132 NPI number — SHARING HANDS INC.

Table of content: DR. PAVAN KUMAR KAVALI MD (NPI 1609192277)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326218132 NPI number — SHARING HANDS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHARING HANDS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326218132
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
736 SUNCREST LOOP
Provider Second Line Business Mailing Address:
#204
Provider Business Mailing Address City Name:
CASSELBERRY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32707-9042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
321-746-9588
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
736 SUNCREST LOOP
Provider Second Line Business Practice Location Address:
#204
Provider Business Practice Location Address City Name:
CASSELBERRY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32707-9042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-746-9588
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
GRAHAM JAMES
Authorized Official First Name:
NAOMI
Authorized Official Middle Name:
EDMARIE
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
321-746-9588

Provider Taxonomy Codes

  • Taxonomy code: 372600000X , with the licence number:  230262 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 376J00000X , with the licence number: 230262 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 693757800 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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